The recent weeks that have passed challenged me to be more flexible and adaptive to some uncertainties. I realized that the set of activities that was prepared and was asked for me to accomplish this prelims is pretty much similar to what I was able to pass last semester. Compared to my situation before, I can say that I have completely adjusted and became more accustomed in accomplishing at least one or two activities in the modules every day. I can now balance my study time and activity time. The activities in the modules are the same and I appreciate that because I still need to sharpen and improve my NCP skills and communication skills in assessing patients. Finding a patient however is still hard because a lot of people in our community doesn’t want to be bothered. The two recorded group reports are one of the newest activities included in the module. I found it hard to prepare for the reports since I was the one who created the two Powerpoint slides. Nevertheless, when I was working on the Powerpoint I was already learning and gathering up ideas as I was them. I think, one of my newly discovered strengths this prelims is that I am totally adjusted with the current educational set-up. I no longer feel anxious everytime I interview someone and I am becoming more focused on creating realistic plans on my NCP. My weakness would be the limited opportunity for me to find patients with unique conditions. I always end up having a patient with a common condition and finding a patient who has a respiratory condition in this time of pandemic is quite risky. The opportunity that I was able to grab was to report and present our chosen group topic. Lastly, one of the challenge that I have to face throughout this semester is to retain all of the lessons that was taught to me in the prelims. 1. As nurses, the primary responsibilities that we should apply to patients with respiratory problems includes doing comprehensive assessment of the patient’s condition, carrying out of independent and dependent nursing actions without causing harm to the patient and significant others, monitoring for adverse effects of the medications and the possible complications of prolonged mechanical ventilation, infection prevention, monitoring the vital signs, oxygen saturation, comfort and rest of the patient, lastly, conduct health promotion and disease prevention plans through health teachings for the patients and families. 2. As a future nurse, I will help reduce the mortality rate of my patients by doing a comprehensive assessment of their condition/s, after that I am going to monitor their vital signs and ensure that they are controlled and within acceptable readings, correctly position the client, prevent complications before they arise, I will promptly administer medications as ordered, carry out dependent and independent nursing actions as well as notify the physician from time to time about the patient’s condition. 3. Being a Pilarist nurse, I am constantly reminded by my educators to treat the patient as a whole and ensure that the patient maximizes his/her abilities while being confined in the hospital. I also learned that prevention and prompt management is the utmost concern of critical care nurses to their patients. Applying it to my family, I will be an advocate and I will also remind them that the conditions that make patients end up in ICU are all preventable and while they are still young and consider themselves healthy then they should not be engaging in activities and practices that would make them eventually develop these types of crippling diseases.